Healthcare Provider Details

I. General information

NPI: 1881833283
Provider Name (Legal Business Name): MATTHEW R SCHOTTLAND PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2009
Last Update Date: 02/10/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1330 U ST NW WASHINGTON
WASHINGTON DC
20009-7991
US

IV. Provider business mailing address

800 P ST NW WASHINGTON
WASHINGTON DC
20001-3366
US

V. Phone/Fax

Practice location:
  • Phone: 202-888-5595
  • Fax:
Mailing address:
  • Phone: 732-245-1327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1001039
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: